MR. BARRY A LABINE (NPI# 1780686592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780686592 |
Entity Type | Individual |
Full Name | MR. BARRY A LABINE |
Credential | MD |
Practice Address |
2251 Connecticut Ave S Suite 3800 Sartell MN 56377-2486 |
Practice Telephone | 3202523376 |
Practice Fax Number | 3202526847 |
Mailing Telephone | 3202523376 |
Mailing Fax Number | 3202526847 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2013-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 35729 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PREFERRED ONE | 1013504 | 01 | |
HEALTH PARTNERS | HP16582 | 01 | |
FIRST HEALTH PLAN | 2114100 | 01 | |
BLUE CROSS BLUE SHIELD | 39A76LA | 01 | |
RR MEDICARE | P00072851 | 01 | |
MEDICA HEALTH PLANS | 0300313 | 01 | |
MEDICAL ASSISTANCE | 167075100 | 01 | |
MN | 167075100 | 05 | |
U CARE | 117106 | 01 | |
ARAZ GROUP/AMERICAS PPO | 596562 | 01 | |
RR MEDICARE | CU0204 | 01 |
Street Address |
2251 CONNECTICUT AVE S SUITE 3800 |
City | SARTELL |
State | MN |
Zip Code | 56377-2486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538165881 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-4772 | 2005-06-22 |
1154920189 | Sartell Pediatrics, P.a. | Pediatrics | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2020-10-21 |
1164052718 | Callie Sahr | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2020-01-23 |
1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
1386195659 | Chelsea Victoria Domeier | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-10-20 |
1700334851 | Amanda Walters | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-09-19 |
1861844482 | Brittany Joy Gordon | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-07-07 |
1447618095 | Kassie Scott | Dental Therapist | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-02-10 |
1033582259 | Lauren Milovitch-sera | Physical Therapist | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-2486 | 2015-11-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962871608 | Lakes Dermatology, Pa | Dermatology | 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 | 2015-09-23 |
1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
1770885360 | Thomas Joseph Kalb | Dermatology | 13420 106th St., Young America, MN 55397-5401 | 2010-12-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.